Research article

Nonsurgical management of temporomandibular joint autoimmune disorders

  • Received: 30 July 2019 Accepted: 24 November 2019 Published: 12 December 2019
  • Introduction: Temporomandibular disorders (TMD) are observed in a number of autoimmune diseases but limited studies have assessed the effect of autoimmune diseases on TMD. Therefore, the present review article was conducted to determine the effect of autoimmune diseases on TMD. Methods: International databases, including Web of Sciences, PubMed and Scopus, were searched in order to find related articles. The search key words were; temporomandibular joint (TMJ) autoimmune disorders, TMJ, TMD, medical therapy and non-invasive, local and systemic management. Published articles from June, 2010 to June, 2019 were included in the review. Results: A total of 11 related articles including rheumatoid arthritis (RA), lupus erythematosus and systemic sclerosis were found. All articles noted that TMJ has unique features that distinguishes it from other human body joints. Cases of TMJ injury and TMD require specific treatments. Therefore, early diagnosis of TMD is essential. It was also mentioned in the articles that the collagen-induced arthritis (CIA) method is a suitable method for investigating TMD and its relationship with RA. Treatment methods included oral steroids, Disease-modifying antirheumatic drugs, nonsteroidal anti-inflammatory drugs, methotrexate 75 mg, and combination therapy with methotrexate. Conclusion: Based on the results of this study, TMD exists in some autoimmune diseases, including RA, lupus erythematosus and systemic sclerosis. Therefore, there should be an interdisciplinary collaboration between physicians and dentists in order to choose the best conservative treatment and medication therapy for TMD to reduce the progression and pain associated with this type of disorder.

    Citation: Ehsan Shoohanizad, Ata Garajei, Aida Enamzadeh, Amir Yari. Nonsurgical management of temporomandibular joint autoimmune disorders[J]. AIMS Public Health, 2019, 6(4): 554-567. doi: 10.3934/publichealth.2019.4.554

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  • Introduction: Temporomandibular disorders (TMD) are observed in a number of autoimmune diseases but limited studies have assessed the effect of autoimmune diseases on TMD. Therefore, the present review article was conducted to determine the effect of autoimmune diseases on TMD. Methods: International databases, including Web of Sciences, PubMed and Scopus, were searched in order to find related articles. The search key words were; temporomandibular joint (TMJ) autoimmune disorders, TMJ, TMD, medical therapy and non-invasive, local and systemic management. Published articles from June, 2010 to June, 2019 were included in the review. Results: A total of 11 related articles including rheumatoid arthritis (RA), lupus erythematosus and systemic sclerosis were found. All articles noted that TMJ has unique features that distinguishes it from other human body joints. Cases of TMJ injury and TMD require specific treatments. Therefore, early diagnosis of TMD is essential. It was also mentioned in the articles that the collagen-induced arthritis (CIA) method is a suitable method for investigating TMD and its relationship with RA. Treatment methods included oral steroids, Disease-modifying antirheumatic drugs, nonsteroidal anti-inflammatory drugs, methotrexate 75 mg, and combination therapy with methotrexate. Conclusion: Based on the results of this study, TMD exists in some autoimmune diseases, including RA, lupus erythematosus and systemic sclerosis. Therefore, there should be an interdisciplinary collaboration between physicians and dentists in order to choose the best conservative treatment and medication therapy for TMD to reduce the progression and pain associated with this type of disorder.


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    Conflict of interest



    The authors declare that they have no conflict of interest.

    [1] Vrbanović E, Alajbeg IZ (2017) A Young Patient with Temporomandibular Joint Osteoarthritis: Case Report. Acta Stomatol Croat 51: 232–239. doi: 10.15644/asc51/3/7
    [2] Jain S, Sharma N, Patni P, et al. (2018) Association of midline discrepancy with tempromandibular joint disorder. A systematic review. Clujul Med 91: 151–156.
    [3] Balaji SM (2010) Bifid mandibular condyle with tempromandibular joint ankylosis-a pooled data analysis. Dent Traumatol 26: 332–337. doi: 10.1111/j.1600-9657.2010.00892.x
    [4] Ghalayani P, Razavi SM, Babadi F, et al. (2013) Histological assessment of intra-articular versus intra-peritoneal betamethasone L.A on tempromandibular joint arthritis in rat. Dent Res J 10: 518–522.
    [5] Furquim BD, Flamengui LM, Conti PC (2015) TMD and chronic pain: a current view. Dental Press J Orthod 20: 127–133. doi: 10.1590/2176-9451.20.1.127-133.sar
    [6] Okeson JP (2008) Management of Temporomandibular Disorders and Occlusion-E-book. 6Eds., Elsevier Health Sciences, 1–333.
    [7] Castelo PM, Gaviao MB, Pereira LJ, et al. (2005) Relationship between oral parafunctional/nutritive sucking habits and temporomandibular joint dysfunction in primary dentition. Int J Paediatr Dent 15: 29–36. doi: 10.1111/j.1365-263X.2005.00608.x
    [8] Mackie A, Lyons K (2008) The role of occlusion in temporomandibular disorders: A review of the literature. N Z Dent J 104: 54–59.
    [9] Chisnoiu AM, Picos AM, Popa S, et al. (2015) Factors involved in the etiology of temporomandibular disorders-a literature review. Clujul Med 88: 473–478.
    [10] Mortazavi SH, Motamedi MH, Navi F, et al. (2010) Outcomes of management of early temporomandibular joint disorders: How effective is nonsurgical therapy in the long-term? Natl J Maxill Surg 1: 108–111. doi: 10.4103/0975-5950.79210
    [11] Jahandideh Y, Basirat M, Tayefeh Davalloo R (2017) Prevalence of Temporomandibular Disorders and the Associated Factors. J Guilan Uni Med Sci 26: 22–29.
    [12] Tabatabaian F, Saboury A, Kaseb Ghane H (2013) The Prevalence of Temporomandibular Disorders in Patients Referred to the Prosthodontics Department of Shahid Beheshti Dental School in Fall 2010. J Dent Sch 31:52–59.
    [13] Ferendiuk E, Zajdel K, Pihut M (2014) Incidence of otolaryngological symptoms in patients with temporomandibular joint dysfunctions. Biomed Res Int 2014: 824684.
    [14] Velly AM, Schiffman EL, Rindal DB, et al. (2013) The feasibility of a clinical trial of pain related to temporomandibular muscle and joint disorders: the results of a survey from the Collaboration on Networked Dental and Oral Research dental practice-based research networks. J Am Dent Assoc 144: e1–e10.
    [15] Movahedian B, Razavi SM, Movahedian A (2006) Assistant Professor, Department of Oral and Maxillofacial Surgery School of Dentistry. Isfahan Uni Med Sci J 2: 32–37.
    [16] Matos MF, Catunda IS, Matos JL, et al. (2018) Autoimmune temporomandibular arthropathy: diagnostic considerations. Gen Dent 66: 56–61.
    [17] Silva R, Gupta R, Tartaglia G, et al. (2017) Benefits of using the ultrasonic BoneScalpel™ in temporomandibular joint reconstruction. J Cranio Maxill Surg 45: 401–407. doi: 10.1016/j.jcms.2016.12.003
    [18] Singh B, Singh R (2013) Temporomandibular joint-anatomy and movement disorders. IJIRS 2.
    [19] Bekcioglu B, Bulut E, Bas B (2017) The Effects of Unilateral Alloplastic Temporomandibular Joint Replacement on the Opposite-Side Natural Joint: A Finite-Element Analysis. J Oral Maxill Surg 75: 2316–2322. doi: 10.1016/j.joms.2017.05.017
    [20] White SC, Pharoah MJ (2014) Oral Radiology: Principles and Interpretation, 6Eds., St. Louis: Mosby Co, 530–560.
    [21] Mapelli A, Galante D, Lovecchio N, et al. (2009) Translation and rotation movements of the mandible during mouth opening and closing. Clin Anat 22: 311–318. doi: 10.1002/ca.20756
    [22] Haghnegahdar A, Tadayon M, Dehghani A, et al. (2015) Temporomandibular Joint Subluxation Prevalence and Related Factors in Shiraz Students. J Mashhad Dental Sch 39: 323–334.
    [23] Sforza C, Tartaglia GM, Lovecchio N, et al. (2009) Mandibular movements at maximum mouth opening and EMG activity of masticatory and neck muscles in patients rehabilitated after a mandibular condyle fracture. J Cranio Maxill Surg 37: 327–333. doi: 10.1016/j.jcms.2009.01.002
    [24] Bag AK, Gaddikeri S, Singhal A, et al. (2014) Imaging of the temporomandibular joint: An update. World J Radiol 6: 567–582. doi: 10.4329/wjr.v6.i8.567
    [25] Chang CL, Wang DH, Yang MC, et al. (2018) Functional disorders of the temporomandibular joints: Internal derangement of the temporomandibular joint. Kaohsiung J Med Sci 34: 223–230. doi: 10.1016/j.kjms.2018.01.004
    [26] Chisnoiu AM, Picos AM, Popa S, et al. (2015) Factors involved in the etiology of temporomandibular disorders–a literature review. Clujul Med 88: 473–478.
    [27] Song HS, Shin JS, Lee J, et al. (2018) Association between temporomandibular disorders, chronic diseases, and ophthalmologic and otolaryngologic disorders in Korean adults: A cross-sectional study. PLoS One 13: e0191336. doi: 10.1371/journal.pone.0191336
    [28] Madani AS, Mehdizadeh F (2004) Prevalence of etiologic factors in temporomandibular disorder in 100 patients examined in Mashhad Dental School. J Dent Sch 22: 292–301.
    [29] Conti ACCF, Oltramari PVP, Navarro RL, et al. (2007) Examination of temporomandibular disorders in the orthodontic patient: a clinical guide. J Appl Oral Sci 15: 77–82. doi: 10.1590/S1678-77572007000100016
    [30] Bonjardim LR, Gaviao MBD, Pereira LJ, et al. (2004) Mandibular movements in children with and without signs and symptoms of temporomandibular disorders. J Appl Oral Sci 12: 39–44. doi: 10.1590/S1678-77572004000100008
    [31] Feteih RM (2006) Signs and symptoms of temporomandibular disorders and oral parafunctions in urban Saudi Arabian adolescents: a research report. Head Face Med 2: 25. doi: 10.1186/1746-160X-2-25
    [32] de Souza Barbosa T, Miyakoda LS, de Liz Pocztaruk R, et al. (2008) Temporomandibular disorders and bruxism in childhood and adolescence: review of the literature. Int J Pediatr Otorhinolaryngol 72: 299–314. doi: 10.1016/j.ijporl.2007.11.006
    [33] Cooper BC, Kleinberg I (2007) Examination of a large patient population for the presence of symptoms and signs of temporomandibular disorders. Cranio 25: 114–126. doi: 10.1179/crn.2007.018
    [34] Casamassimo P, Christensen JR, Fields HW, et al. (2005) Examination,Diagnosis,Treatment Plannig for General and Orthodontic Problems. In: Pinkham J, Casamassimo P, Fields HW, et al. Pediatric Dentistry: Infancy Through Adolescence. St. Louis: W.B. Saunders Co, 89–661.
    [35] Barcly P, Hollender LG, Maravilla KR, et al. (1999) Comparison of clinical and magnetic resonance imaging diagnosis in patients with disk displacement in the tempromandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88: 37–43. doi: 10.1016/S1079-2104(99)70191-5
    [36] Schmitter M, Kress B, Rammelsberg P (2004) Tempromandibular joint pathosis in patient with myofascial pain: A comparative analysis of magnetic resonance imaging and a clinical examination based on a specific set of criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97: 318–324. doi: 10.1016/j.tripleo.2003.10.009
    [37] Uematsu H, Ichida T, Masumi S, et al. (2002) Diagnostic image analysis of activator treated temporomandibular joint in gowth and maturing stages. Cranio 20: 254–263. doi: 10.1080/08869634.2002.11746217
    [38] McDavid WD, Tronje G, Welander U, et al. (1986) Dimensional reproduction in rotational panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 62: 96–101. doi: 10.1016/0030-4220(86)90079-4
    [39] Hoseini Zarch S, Javadian Langrodi A, Bahramian L, et al. (2017) Evaluating the Accuracy of Tempromandibular Joint Panoramic Radiography in Condylar Positioning. J Mashhad Dental Sch 41: 197–208.
    [40] Baba R, Udea K, Okabe M (2004) Using a flat-panel detector in high resoulution cone beam CT for dental imaging. Dento Maxill Radiol 33: 285–290. doi: 10.1259/dmfr/87440549
    [41] Barghan S, Tetradis S, Mallya S (2012) Application of cone beam computed tomography for assessment of the tempromandibular joint. Aust Dent J 57: 109–118.
    [42] Aggarwal VR, Lovell K, Peters S, et al. (2011) Psychosocial interventions for the management of chronic orofacial pain. Cochrane Database Syst Rev.
    [43] Liu F, Steinkeler A (2013) Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin 57: 465–479.
    [44] Ebrahim S, Montoya L, Busse JW, et al. (2012) The effectiveness of splint therapy in patients with temporomandibular disorders. A systematic review and meta-analysis. J Am Dent Assoc 143: 847–857.
    [45] Lobbezoo F, van der Glas HW, van Kampen FMC, et al. (1993) The effect of an occlusal stabilization splint and the mode of visual feedback on the activity balance between jaw-elevator muscles during isometric contraction. J Dent Res 72: 876–882. doi: 10.1177/00220345930720050801
    [46] van Grootel RJ, Buchner R, Wismeijer D, et al. (2017) Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations. BMC Musculoskeletal Disord 18: 76. doi: 10.1186/s12891-017-1404-9
    [47] Seifi M, Ebadifar A, Kabiri S, et al. (2017) Comparative effectiveness of Low Level Laser therapy and Transcutaneous Electric Nerve Stimulation on Temporomandibular Joint Disorders. J Lasers Med Sci 8(Suppl 1): S27–S31.
    [48] Ouanounou A, Goldberg M, Haas DA (2017) Pharmacotherapy in Temporomandibular Disorders: A Review. J Can Dent Assoc 83: 1488–2159.
    [49] Indresano A, Alpha C (2009) Nonsurgical management of temporomandibular joint disorders. In: Fonseca RJ, Marciani RD, Turvey TA, et al. Oral and Maxillofacial Surgery. 2Eds., St. Louis, Mo: Saunders/Elsevier, 881–897.
    [50] Indresano A, Alpha C (2009) Nonsurgical management of temporomandibular joint disorders. Oral and Maxillofacial Surgery. 2Eds., St. Louis, Mo.: Saunders/Elsevier, 881–897.
    [51] Al-Ani MZ, Davies SJ, Gray RJ, et al. (2004) Stabilisation splint therapy for tem-poromandibular pain dysfunction syndrome. Cochrane Database Syst Rev.
    [52] Samiee A, Sabzerou D, Edalatpajouh F, et al. (2011) Temporomandibular joint injection with corticosteroid and local anesthetic for limited mouth opening. J Oral Sci 53: 321–325. doi: 10.2334/josnusd.53.321
    [53] Brenner KJ (2010) Autoimmune Diseases: Symptoms, Diagnosis, and Treatment. Nova Biomedical/Nova Science Publishers.
    [54] Castro WH, Gomez RS, Da Silva Oliveira J, et al. (2005) Botulinum toxin type A in the management of masseter muscle hypertrophy. J Oral Maxill Surg 63: 20–24.
    [55] Soares A, Andriolo RB, Atallah AN, et al. (2014) Botulinum toxin for myofascial pain syndrome in adults. Cochrane Database Syst Rev.
    [56] Kimos P, Biggs C, Mah J, et al. (2007) Analgesic action of gabapentin on chronic pain in the masticatory muscles: a randomized controlled trial. Pain 127: 151–160. doi: 10.1016/j.pain.2006.08.028
    [57] Martin WJ, Perez RS, Tuinzing DB, et al. (2012) Efficacy of antidepressants on orofacial pain: a systematic review. Int J Oral Maxill Surg 41: 1532–1539. doi: 10.1016/j.ijom.2012.09.001
    [58] Singer E, Dionne R (1997) A controlled evaluation of ibuprofen and diazepam for chronic orofacial muscle pain. J Orofac Pain 11: 139–146.
    [59] DeNucci DJ, Sobiski C, Dionne RA (1998) Triazolam improves sleep but fails to alter pain in TMD patients. J Orofac Pain 12: 116–123.
    [60] Cárdenas-Roldán J, Rojas-Villarraga A, Anaya JM (2013) How do autoimmune diseases cluster in families? A systematic review and meta-analysis. BMC Med 11:73.
    [61] Amaya-Amaya J, Botello-Corzo D, Calixto OJ, et al. (2012) Usefulness of patients-reported outcomes in rheumatoid arthritis focus group. Arthritis 2012.
    [62] What is rheumatoid arthritis or rheumatoid arthritis and what are the symptoms? Available from: https://www.iranorthoped.com/fa/news.
    [63] Deane KD, Demoruelle MK, Kelmenson LB, et al. (2017) Genetic and environmental risk factors for rheumatoid arthritis. Best Pract Res Clin Rheumatol 31: 3–18.
    [64] Urman A, Taklalsingh N, Sorrento C, et al. (2018) Inflammation beyond the Joints: Rheumatoid Arthritis and Cardiovascular Disease. Scifed J Cardiol 2: 1000019.
    [65] Chitroda P, Katti G, Ghali S (2011) Bilateral TMJ involvement in rheumatoid arthritis, a case report. J Oral Health Res 12: 74–78.
    [66] Aliko A, Ciancaglini R, Alushi A, et al. (2011) Temporomandibular joint involvement in rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. Int J Oral Maxill Surg 40: 704–709. doi: 10.1016/j.ijom.2011.02.026
    [67] Ruparelia PB, Shah DS, Ruparelia K, et al. (2014) Bilateral TMJ Involvement in Rheumatoid Arthritis. Case Rep Dent 2014: 262430.
    [68] Sodhi A, Naik S, Pai A, et al. (2015) Rheumatoid arthritis affecting temporomandibular joint. Contemp Clin Dent 6: 124–127. doi: 10.4103/0976-237X.149308
    [69] Chebbi R, Khalifa HB, Dhidah M (2016) Temporomandibular joint disorder in systemic sclerosis: a case report. Pan Afr Med J 25: 164.
    [70] Cordeiro PC, Guimaraes JP, de Souza VA, et al. (2016) Temporomandibular joint involvement in rheumatoid arthritis patients: association between clinical and tomographic data. Acta Odontol Latinoam 29: 123–129.
    [71] Wang DH, Yang MC, Hsu WE, et al. (2017) Response of the temporomandibular joint tissue of rats to rheumatoid arthritis induction methods. J Dent Sci 12: 83–90. doi: 10.1016/j.jds.2016.12.001
    [72] Crincoli V, Anelli MG, Quercia E, et al. (2019) Temporomandibular Disorders and Oral Features in Early Rheumatoid Arthritis Patients: An Observational Study. Int J Med Sci 16: 253–263. doi: 10.7150/ijms.28361
    [73] Hutami IR, Tanaka E, Izawa T (2019) Crosstalk between Fas and S1P1 signaling via NF-kB in osteoclasts controls bone destruction in the TMJ due to rheumatoid arthritis. Jpn Dent Sci Rev 55: 12–19. doi: 10.1016/j.jdsr.2018.09.004
    [74] Shi Z, Guo C, Awad M (2003) Hyaluronate for temporomandibular joint disorders. Cochrane Database Syst Rev.
    [75] Ince DO, Ince A, Moore TL (2000) Effect of methotrexate on the temporomandibular joint and facial morphology in juvenile rheumatoid arthritis patients. Am J Orthod Dentofacial Orthop 118: 75–83. doi: 10.1067/mod.2000.104953
    [76] Kopp S, Alstergren P, Ernestam S, et al. (2005) Reduction of temporomandibular joint pain after treatment with a combination of methotrexate and infliximab is associated with changes in synovial fluid and plasma cytokines in rheumatoid arthritis. Cells Tissues Organs 180: 22–30. doi: 10.1159/000086195
    [77] Jonsson R, Lindvall AM, Nyberg G (1983) Temporomandibular joint involvement in systemic lupus erythematosus. Arthritis Rheum 26: 1506–1510. doi: 10.1002/art.1780261213
    [78] Kianmehr N (2018) Update in Systemic Lupus Erythematosus. RJMS 24: 63–69.
    [79] Mofid R, Talebi MR, Mozayanfar N, et al. The relationship between systemic sclerosis and periodontal diseases. Available from: http://www.irden.ir/amoozesh/dental/103650/.
    [80] Mayes MD, Lacey Jr JV, Beebe-Dimmer J, et al. (2003) Prevalence, incidence, survival, and disease characteristics of systemic sclerosis in a large US population. Arthritis & Rheumatism: Official. J Am Coll Rheumatol 48: 2246–2255.
    [81] Mansuorian A, Pourshahidi S, Afshar MSS (2017) A review of treatment approaches of Myofascial Pain Dysfunction Syndrome. J Dent Med 29: 288–301.
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